Bankruptcy Evaluation

IS BANKRUPTCY RIGHT FOR YOU?

Complete this form to see if bankruptcy is right for you.

First Name

Last Name

Email

Phone

What is the nature of your debt?What is the nature of your debt?I have a credit cardsI have personalI have tax debtI have a car loanI have a mortgageI have overdue billsI have a combination of the above

What are you with your debt?What are you with your debt?I am not keeping up with my paymentsI am keeping up with my payments

Do you have assets you wish to protect?Do you have assets you wish to protect?YesNo

Do you have a regular income?Do you have a regular income?YesNo

What is the total of your debt?What is the total of your debt?Under $5000Between $5000 - $50,000Between $50,000 and $200,000Between $200,000 and $700,000Over $700,000